La coronarography he hōʻike e ʻae iā ʻoe e ʻike i ka nā aa kala korona, ʻo ia hoʻi, nā ʻaʻaʻa e lawe mai i ke koko i ka puʻuwai.

ʻO kēia X-ray o nā aʻa coronary e hiki ai ke hōʻoia ʻaʻole lākou e ʻoki a paʻa ʻia e nā pāatherosclerosis.

Coronary CT scan paha coroscanner Hiki iā ʻoe ke nānā i nā ʻaʻa o ka puʻuwai, akā ma kahi ala ʻoi aku ka invasive ma mua o ka coronary angiography (pono kēia i ka puncture o ke aʻa, ʻoiai ʻo ka scanner wale nō e koi i ka perfusion o kahi vein e hoʻoiho i ka huahana like ʻole).

ʻO ka coronary angiography ka mea e ʻike ai i nā ʻaʻa o ka puʻuwai a nānā i nā haiki (= ʻoʻoleʻa) hiki ke hoʻopili i ke kahe koko i ka puʻuwai. Hiki i kēia mau koʻikoʻi ke kuleana no ka angina, ka puʻuwai puʻuwai a me ka myocardial infarction. Hoʻohana pinepine ʻia ia ma mua o ka Coroscanner, i mālama ʻia no kekahi mau hihia kikoʻī.

ʻO nā hōʻailona no ka angiography coronary ma ke ʻano:

• ʻO ka loaʻa ʻana o ka ʻeha i loko o ka umauma, e kū mai ana i ka wā o ka hoʻoikaika kino (pilikia a i ʻole ka nānā ʻana i hoʻonohonoho ʻia)
• e hoʻomalu a nānā ʻoki kino by coronary ua hoʻonohonoho ʻia
• e hana i ka loiloi preoperative i ka hihia o valvulopathie (= maʻi puʻuwai puʻuwai) i kekahi mau maʻi
• e nānā i nā hemahema hānau (congenital) o ke aʻa coronary.

ʻO ka coronary angiography kahi hōʻike invasive e koi ana i ka puncture o ke aʻa no ka hoʻokomo ʻana i kahi huahana hoʻohālikelike iodinated, opaque i nā kukui X. I ka hoʻomaʻamaʻa ʻana, hoʻokomo ke kauka i kahi catheter lahilahi i loko o ka ʻāʻī (femoral artery) a i ʻole o ka lima (radial artery) ma hope o ka anesthesia kūloko a "hoʻokuʻu" i ka waha o ke aʻa coronary ʻākau a hema, e hoʻoinu i ka huahana ma laila i ka keena radiology.

Lawe ka mea hana i kekahi mau kiʻi, ʻoiai e moe ana ka mea maʻi. Pono ka coronary angiography i ka 24 a i ka 48 hola noho i ka haukapila, ʻoiai ʻo ka hoʻokomo ʻana ma o ke aʻa radial e hiki ai i ka mea maʻi ke puka wikiwiki.

E moe ana ke kanaka i lalo, a lawe ka mīkini x-ray a i ʻole ka scanner i nā kiʻi ma hope o ka hoʻokomo ʻia ʻana o ka mea hoʻohālikelike. ʻAʻole ʻeha a wikiwiki kēia māhele.

ʻO ka hoʻokolokolo ʻana e hiki ai ke hōʻike i kahi haiki a keakea paha o ke aʻa coronary. Ma muli o ke kiʻekiʻe o ka hōʻemi a me nā hōʻailona o ka mea maʻi, hiki i ka hui lapaʻau ke hoʻoholo e hana i ka lāʻau lapaʻau i ka manawa like me ka coronary angiography, i mea e pale ai i ka hoʻomaha hou.

Aia kekahi mau koho:

• kaka'āpana angioplasty : ʻo ia hoʻi ka hoʻonui ʻana i ke aʻa i ālai ʻia me ka baluna hiki ke hoʻohana ʻia, me ka hoʻopaʻa ʻana a i ʻole ke kuʻi ʻana i kahi prosthesis (= stent, he ʻano mīkini liʻiliʻi e wehe mau ai ke aʻa)
• le hala (ʻo ia ka hoʻohuli ʻana i ke kaiapuni ma ka pale ʻana i ke aʻa i hoʻopaʻa ʻia)